Title
4 x Epirubicin, Cyclophosphamide, Followed by 4 x Docetaxel Versus 6 x CMF / 6 x CEF
Adjuvant Chemotherapy of Breast Cancer: Sequential Chemotherapy vs. Standard Therapy. Prospective Randomised Comparison of 4 x Epirubicin and Cyclophosphamide (EC) --> 4 x Docetaxel (Doc) vs. 6 x CMF / CEF in Patients With 1 to 3 Positive Lymph Nodes
Phase
Phase 3Lead Sponsor
West German Study GroupStudy Type
InterventionalStatus
Completed No Results PostedIndication/Condition
Breast CancerIntervention/Treatment
fluorouracil naltrexone epirubicin cyclophosphamide docetaxel ...Study Participants
2011Taxane-based adjuvant chemotherapy is standard in node-positive (N+) early breast cancer (BC). The magnitude of benefit in intermediate-risk N+ early BC is still unclear. West German Study Group and "Arbeitsgemeinschaft Gynäkologische Onkologie" (WSG-AGO) EC-Doc is a large trial evaluating modern sequential taxane-based chemotherapy in the subgroup with 1-3 involved lymph nodes (LN).
4 cycles epirubicin + docetaxel (90/600) i.v., q = 3 weeks, followed by 4 cycles docetaxel (100) i.v., q = 3 weeks
6 cycles cyclophosphamide, methotrexate, 5-fluorouracil (CMF) (600/40/600) i.v., day 1 + 8, q = 4 weeks or 6 cycles cyclophosphamide, epirubicin, 5-fluorouracil (CEF) (500/100/500) i.v., day 1, q = 3 weeks
Inclusion Criteria: Female patients Age 18-65 years Eastern Cooperative Oncology Group (ECOG) status < 2 Surgery: R0-resection and >= 10 removed axillary lymph nodes M0 by chest x-ray, bone scintigraphy and liver sonography Exclusion Criteria: Polyneuropathy Creatinin (serum) > 1,4 mg/dl; Bilirubin (serum) > 2,0 mg/dl Cardia dysfunction, ejection fraction < lower normal value of each institution Hematopoeitic insufficiency: leucocytes < 3,5 G/l, thrombocytes < 100 G/l second malignant neoplasia, except curatively treated basalioma of the skin Surgery before more the six weeks (42 days) Concurrent pregnancy; patients of childbearing potential must implement a highly effective (less than 1% failure rate) non-hormonal contraceptive measures during the study treatment Breast feeding woman Sequential breast cancer Reasons indicating risk of poor compliance Patients not able to consent